Discipline of Physiotherapy, School of Clinical Therapies, University College Cork, Ireland.
Department of General Practice, School of Medicine, University College Cork, Ireland.
Physiotherapy. 2024 Dec;125:101410. doi: 10.1016/j.physio.2024.07.001. Epub 2024 Jul 8.
Physical impairments associated with dementia include reduced gait speed, and diminished postural control, which can lead to an increase in falls and hip fractures. Physiotherapy can play a key role in many aspects of dementia care, including falls risk prevention, gait re-education and end of life care. However, there is a lack of dementia education in entry level physiotherapy programmes. The aim of this study was to map the dementia content and delivery in the current undergraduate and entry level physiotherapy curricula in Ireland the United Kingdom and New Zealand.
This cross-sectional survey-based study was distributed via the online survey tool Qualtrics XM. The survey was designed using the map of Kern's curriculum design framework.
Higher educational institutes (HEIs) that offered an undergraduate (BSc) and/or MSc (entry level) physiotherapy programmes in Ireland United Kingdom and New Zealand were included.
The academic lead for dementia education in the HEI was invited to participate in the survey.
Of the 69 eligible HEIs contacted, 49 responded, giving a response rate of 71%. Different sources informed curriculum design, including patient and public involvement, published guidelines and policies and expert clinicians. The time allocated to dementia teaching across the curricula varied, with under half of the programmes only allocating two hours. The lack of service user input was seen as a perceived weakness of many programmes as was the non-standardisation and generalisability of teaching.
Whilst dementia education is included in many HEI programmes, we need to consider more time, a curriculum that meets learner's needs and include the patient voice. Further research is needed to develop bespoke dementia curricula specific to physiotherapy. CONTRIBUTION OF THE PAPER.
与痴呆相关的身体障碍包括步态速度降低和姿势控制减弱，这可能导致跌倒和髋部骨折的风险增加。物理疗法可以在痴呆护理的许多方面发挥关键作用，包括预防跌倒风险、步态再教育和临终关怀。然而，入门级物理治疗课程中缺乏痴呆症教育。本研究旨在绘制爱尔兰、英国和新西兰当前本科和入门级物理治疗课程中的痴呆症内容和教学方法。
这是一项基于横断面调查的研究，通过在线调查工具 Qualtrics XM 进行分发。该调查使用 Kern 课程设计框架的地图设计。
提供本科（BSc）和/或硕士（入门级）物理治疗课程的高等教育机构（HEI）被包括在内。
邀请 HEI 中痴呆症教育的学术负责人参与调查。
在联系的 69 家合格的 HEI 中，有 49 家做出了回应，回应率为 71%。课程设计的信息来源不同，包括患者和公众的参与、已发表的指南和政策以及专家临床医生。课程中分配给痴呆症教学的时间各不相同，只有不到一半的课程仅分配了两个小时。许多课程都认为缺乏服务用户的投入是其弱点之一，教学缺乏标准化和通用性。
尽管痴呆症教育包含在许多 HEI 课程中，但我们需要考虑更多的时间、满足学习者需求的课程，并纳入患者的意见。需要进一步研究来开发针对物理治疗的特定的痴呆症课程。本文的贡献。
